HESI Registered Nurse EXIT Practice Exam

What is the next action for a nurse if an elderly client with prostate cancer refuses pain medication other than Motrin?

1. Ask the client about the refusal of certain pain medications

2. Talk with the client's family about the situation

3. Report the situation to the health care provider

4. Document the situation in the notes

The correct answer is: Ask the client about the refusal of certain pain medications

Asking the client about their refusal of certain pain medications is the most appropriate next action in this scenario. This step is essential because it allows the nurse to understand the client's perspective, concerns, and any misconceptions they may have regarding their treatment options. Establishing open communication can help the nurse assess the client’s pain management needs more effectively and explore the reasons behind their preferences. This conversation might reveal the client's fears about addiction, side effects, or personal beliefs that influence their choices. Understanding these factors can guide the nurse in providing education about the benefits and risks of various pain management strategies, including other medications that may be more effective for their condition. Additionally, engaging with the client in a respectful and empathetic manner promotes patient autonomy and empowerment in their care decisions, which is especially important in elderly patients who may be navigating complex health issues. It also fosters a therapeutic nurse-client relationship, enhancing trust and openness for future discussions. In contrast, addressing other options, while valuable in certain contexts, does not immediately prioritize the client's direct input and decision-making process regarding their care. Talking with the family, reporting to the healthcare provider, or documenting the situation may follow as necessary steps, but they are secondary to first understanding the client's refusal.